Prq card stent w/angio addl at St Jude Medical Center
101 E Valencia Mesa Dr, Fullerton, CA · Providence · · NPI 1194926279
$7,543.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$15,715.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$9,004.00 with Blue Shield vs $18,394.00 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue Shield | Epn Exchange | $9,004.00 | ↑ +19% |
| Blue Shield | Tandem Ppo | $11,132.00 | ↑ +48% |
| Unitedhealthcare | Select/Navigate Hmo | $11,403.00 | ↑ +51% |
| Unitedhealthcare | All Commercial Plans | $12,301.00 | ↑ +63% |
| Blue Shield | Hmo/Ppo | $12,377.00 | ↑ +64% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $15,328.00 | ↑ +103% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $18,394.00 | ↑ +144% |
Visitor-reported prices
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Prq card stent w/angio addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $6,352.83 – $18,352.62 |
| Bakersfield Memorial Hospital | Bakersfield | $9,509.71 | $1,333.64 – $25,652.88 |
| Queen of The Valley Medical Center | Napa | $19,179.57 | $7,745.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,592.88 | $9,008.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,836.07 | $7,025.76 – $28,103.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,896.96 | $9,718.00 – $11,117.00 |
| Mercy Medical Center Merced | Merced | $13,364.77 | $1,161.88 – $9,399.06 |